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A Vanishing Left Ventricular Outflow Tract Mass: An Uncommon Manifestation of Systemic Lupus Erythematosus
Author(s) -
Ananthakrishna Rajiv,
Moorthy Nagaraja,
Bhat Prabhavathi,
Nanjappa Manjunath C
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12598
Subject(s) - medicine , ventricular outflow tract , cardiology , lupus erythematosus , cusp (singularity) , surgery , antibody , immunology , geometry , mathematics
Mini‐Abstract A 27‐year‐old female with a history of second trimester abortion was referred for evaluation of transient ischemic attack. Echocardiography revealed a large, irregular, mobile mass attached to the right coronary cusp of aortic valve. Investigations were consistent with antiphospholipid antibody syndrome, secondary to systemic lupus erythematosus. She was started on oral anticoagulation. Serial echocardiography showed regression of the mass, with complete resolution at 2 months. We highlight an uncommon manifestation of systemic lupus erythematosus, in the setting of a prothrombotic milieu. Prompt recognition is essential for appropriate therapy and averts the need for surgery.